Can Testicular Cancer Kill You?

Reviewed on 8/6/2020

What is testicular cancer?

Can Testicular Cancer Kill You?
Can Testicular Cancer Kill You?

Testicular cancer arises from the  male reproductive system. The testicles are responsible for the production of male sex hormones and sperm. They are located within the scrotum, a loose bag of skin below the penis. Testicular cancer is the most common type of cancer occurring in American males from the ages of 15 through 35.

Can testicular cancer kill you?

Testicular cancer can be aggressive, growing and spreading rapidly. However, testicular cancer is highly treatable even after it spreads. Hence, the prognosis for men with testicular cancer is good because the disease can usually be treated successfully. 

One of every 250 males develops testicular cancer at some point in their lifetime, according to the American Cancer Society. Because testicular cancer is usually treated successfully, the risk of dying due to the cancer is about 1 in 5,000 of diagnosed men.

What causes testicular cancer?

The exact cause of testicular cancer is not known. Some factors increase the risk of testicular cancer, such as

What are the first symptoms of testicular cancer?

The initial signs and symptoms of testicular cancer include

  • A painless lump in the testicle
  • The affected testicle feels firmer and harder than the other 
  • Dull aching in the scrotum or the groin

The other signs and symptoms that may develop later include

  • Formation of blood clots, which can travel to the lungs causing chest pain and breathlessness.
  • Varicocele (swollen blood vessels) appearing as enlarged, dark blue veins
  • Hydrocele (Fluid around the testicle) causing swelling
  • Infection of the testicle can occur causing pain
  • Injury of the testes
  • Twisting of the testicle (torsion)

What are the types of testicular cancer?

Most testicular cancers are germ cell (cells that produce sperm) tumors. There are two main types of testicular cancer.

Seminomas grow and spread slowly. There are two subtypes 

  • Classical seminoma: This is the most common and usually happens in men ages 25 to 45.
  • Spermatocytic seminoma: Commonly occurs in older men and usually does not spread.

Nonseminomas grow and spread more quickly. They usually consist of multiple types of cancer cells, including

How is testicular cancer diagnosed?

Self-examination can help in early diagnosis and treatment. The affected testes is enlarged, firm and usually painless. The physician performs a complete physical assessment. Complete blood and radiological assessment is performed. 

  • Blood Tests
    • Alpha fetoprotein levels (Alpha FP)
    • Human chorionic gonadotrophin levels (hCG)
    • Lactate dehydrate hydrogenase levels (LDH)
  • Testicular USG
  • Testicular CT Scan
  • Lymphangiography to study tumor spread in lymph nodes
  • A biopsy is usually performed to confirm the diagnosis. It is a minimally invasive procedure that involves obtaining a small sample of the testicle and examining the cells for cancer.


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How is testicular cancer treated?

The treatment may involve one or a combination of multiple treatment modalities, which depends on the extent of the disease.

Treatment options include the following

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